05D2294003 CLIA NUMBER - KOKUA WELLNESS, INC.

Laboratory Demographics

  • CLIA Code: 05D2294003
  • Facility Name: KOKUA WELLNESS, INC.
  • Facility Address: 1219 VIA CIELITO
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 818 223-3834
  • Facility Type: Other - INPATIENT REHAB FACILITY
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER KERRIGAN
  • NPI Number: 1891488748
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2294003
LAB Type Other - INPATIENT REHAB FACILITY
Facility Name KOKUA WELLNESS, INC.
Street 1219 VIA CIELITO
City VENTURA
State CA
ZIP 93003
Phone 818 223-3834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Other - INPATIENT REHAB FACILITY
Lab Director CHRISTOPHER KERRIGAN

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This page was last updated on: 9/29/2025